Ch 18 (test 4)

Question 1

Sympathetic nervous system is part of the

Answer 1

autonomic nervous system

Question 2

counter-part of SNS is

Answer 2

parasympathetic nervous system

Question 3

Receptor sites for catecholamines are

Answer 3

adrenergic receptors

Question 4

adrenergic receptors are divided into

Answer 4

alpha receptors: cause vasoconstriction (-GI)

beta receptors: inhibitory/cause dilation (except stimulation of cardiac contractions)

Question 5

Beta receptors types

Answer 5

Beta 1: produce cardiac stimulation

Beta 2: cause bronchodilation.

Question 6

responses to catecholamine binding to receptor sites.

Answer 6

1. smooth muscle constriction
2. heart rate increase
3. blood vessel constriction

Question 7

MAO and COMT

Answer 7

enzymes that stop the action of catecholamines.

Question 8

Sympathetic nervous system is responsible for

Answer 8

fight or flight response

Question 9

Parasympathetic nervous system responsible for

Answer 9

rest and digest response

Question 10

Receptor sites for acetylcholine

Answer 10

nicotinic and muscarinic receptors

Question 11

acetylcholine is inactivated by

Answer 11

acetylcholinesterase

Question 12

andrenergic drugs/sympathomimetic drugs

Answer 12

stimulate the sympathetic nervous system and its functions.

mimic norepinephrine, epinephrine and dopamine. Bathe synapse to produce a neurological response.

Question 13

Therapeutic uses for adrenergic drugs

Answer 13

1. Asthma/Bronchodilator
2. Glaucoma/decreases IOP
3. Heart failure/support
4. hypotension/vasopressor(vasoactive drug)

Question 14

Proventil (albuterol)

Answer 14

Brochodilator

inhalation, oral, injection

Question 15

Adrenalin (epinephrine)

Answer 15

bronchodilator

anaphylaxis treatment

Question 16

Sudafed and Afarin

Answer 16

otc nasal decongestants

Question 17

Bronchodilators

Answer 17

treat severe asthma by opening the airway(dilation)

Question 18

Nasal decongestants

Answer 18

cause vasoconstriction in nasal mucosa and shrink the mucous to promote easier breathing. miss-use leads to increased nasal congestion.

Question 19

Vasoactive drugs

Answer 19

for heart failure and shock. use PUMP. heart monitor and b/p continuous.

Question 20

Dobutrex (dobutamine)

Answer 20

vasoactive drug

increases cardiac output

Question 21

Intropin (dopamine)

Answer 21

1. vasoactive drug
2. dilates vessels in brain, kidney, and heart to increase circulation.
3. treats: hypotensive crisis and prevents renal shutdown

Question 22

Adrenalin (epinephrine)

Answer 22

primary vasoactive drug for acute coronary life support (ACLS)
also used to dilate pupil to decrease IOP

Question 23

nursing implications for Adrenergic drugs

Answer 23

1. document baseline vitals first

2. IV pump

Question 24

evaluation of adrenergic drugs

Answer 24

1. decrease in edema
2. increased urine output
3. normal bp systolic above 90
4. pulse 60-100
5. resp rate 12-20
6. puls ox greater than 90%